Sonderer Patrizia, Akhbari Ziegler Schirin, Gressbach Oertle Barbara, Meichtry André, Hadders-Algra Mijna
Institute of Physiotherapy (Mss Sonderer, Ziegler, and Oertle and Mr Meichtry), School of Health Professions, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland; and Department of Pediatrics-Division Developmental Neurology (Dr Hadders-Algra), University Medical Center Groningen (UMCG), University of Groningen, the Netherlands.
Pediatr Phys Ther. 2017 Jul;29(3):244-250. doi: 10.1097/PEP.0000000000000398.
Pediatric physical therapy (PPT) is characterized by heterogeneity. This blurs the evaluation of effective components of PPT. The Groningen Observation Protocol (GOP) was developed to quantify contents of PPT. This study assesses the reliability and completeness of the GOP.
Sixty infant PPT sessions were video-taped. Two random samples of 10 videos were used to determine interrater and intrarater reliability using interclass correlation coefficients (ICCs) with 95% confidence intervals. Completeness of GOP 2.0 was based on 60 videos.
Interrater reliability of quantifying PPT actions was excellent (ICC, 0.75-1.0) in 71% and sufficient to good (ICC, 0.4-0.74) in 24% of PPT actions. Intrarater reliability was excellent in 94% and sufficient to good in 6% of PPT actions. Completeness was good for greater than 90% of PPT actions.
GOP 2.0 has good reliability and completeness. After appropriate training, it is a useful tool to quantify PPT for children with developmental disorders.
儿科物理治疗（PPT）具有异质性。这使得对PPT有效成分的评估变得模糊。格罗宁根观察协议（GOP）旨在对PPT内容进行量化。本研究评估了GOP的可靠性和完整性。
对60次婴儿PPT治疗过程进行录像。随机抽取两个包含10个视频的样本，使用组内相关系数（ICC）及95%置信区间来确定评分者间和评分者内的可靠性。GOP 2.0的完整性基于这60个视频。
在71%的PPT动作中，量化PPT动作的评分者间可靠性极佳（ICC，0.75 - 1.0），在24%的PPT动作中可靠性为足够至良好（ICC，0.4 - 0.74）。评分者内可靠性在94%的PPT动作中极佳，在6%的PPT动作中为足够至良好。超过90%的PPT动作完整性良好。
GOP 2.0具有良好的可靠性和完整性。经过适当培训后，它是量化发育障碍儿童PPT的有用工具。
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